DOI: 10.36347/sasjs.2020.v06i09.002

Pages: 313-315

Many different techniques have been used to repair inguinal hernia, each with their own advantages and disadvantages. This study was done by using the principles of stoppas and laparoscopic TEP procedures but by giving small incision under spinal anaesthesia using blunt dissection for creating the pre peritoneal space. The study was done with 90 cases in Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, India. Cases which were included in the study are recurrent hernias and those above the age of 18 with primary and recurrent hernias. Cases which were excluded from the study are those with complicated hernias (strangulation, obstruction) and those cases with complete hernias. The study was done over a period of 26 months with a mean operative time of U/L hernias to be 35.23min and for B/L hernias to be 43.54min. For U/L recurrent hernias it was 38 min and for B/L recurrent hernias it was 46 min. Post operative complications were found in 5 cases (hematoma-2, seroma-3), there were 3 cases with reported post operative pain and one case of recurrence. By doing this study we were able to understand that the method of combining the best of effects of laparoscopic TEP and stoppas had quite a few advantages such as small incision, less operative time, less recurrence rate, patient compliance and less cost. Other advantages that were observed was that anatomy could be directly visualised which decreases the learning curve for laparoscopic TEP. Local wound infections were minimal using this procedure.